NHS Technology Funds:
Strategic Investment to support integrated care
Paul Rice
Head of Technology Strategy
NHS England
2nd July 2014
Vision
The Secretary of State vision is to achieve full integration of digital patient
record across all care settings by 2018.
We want local health and care services to use digital technology to ensure
that vital, patient-related information is available at point of care, across all
care settings.
Better use of digital technologies will transform clinical effectiveness and
outcomes and reduce the administrative burden on frontline staff; it will
enable the integration of care around the person who is being treated; it will
empower people to do more for themselves.
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Care Settings – current digital care record position
GP
Urgent
A&E
Urgent and
Emergency
care
Ambulance
Mental
Health
Acute
Community &
Residential
Care
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In primary care, digital records have now
been implemented in the overwhelming
majority of GP practices.
Out of Hours
Social Care
However, NHS providers in hospitals and
other settings, as well as Social Care
providers are at different stages of digital
maturity and many still have substantial
work to do if they are to provide
professional staff with the systems they
need to access immediate and
comprehensive health and care
information
A personal account
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Those other lose threads
• The discharge “fax”
• The missed observations
• The tto’s/pain relief
• Scheduling aftercare
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Local routemaps within a strategic framework
 Paper to paper light to paperless
progress
Paper
based
process
dominate
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Some
Paper
based
processes
Digital
integration
within care
settings
Digital
integration
across
any care
setting
 Some significant national infrastructure
– spine – N3 – NHS mail that has
made a massive contribution
 Increasingly about permissive and
flexible local solutions within a
framework of assurance (standards,
architecture, interoperability),
governance and benefits realisation
NHS England Role
• Management of the Tech Funds – to drive the overall Integrated Digital
Care Record strategy and provide the framework to support strategic
investment and ensure value for money.
• Assurance of local projects: progress to plan and benefits realisation
• Stimulating the market; influencing suppliers to provide a wider choice for
local procurement- “boiler plate” procurement toolkits/market devt
• Commissioning technology and interoperability standards to enable
integration (HSCIC)
• Working closely with DH and LGA colleagues to address key issues
across the health and social care landscape.
• Developing Communities of Practice as a means of knowledge sharing,
to signpost local organisations to examples of good practice and
innovation.
• Supporting Accelerator and Pioneer sites to become exemplars for
others.
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Technology Funds – targeting strategic investment
Tech
Fund 1
Nurse
Tech
Fund
•
•
•
•
Open to NHS organisations only
Digital pens
Mobile technology
Systems for collection and logging of vital signs
Tech
Fund 2
•
•
•
•
Open to NHS and Local Authorities. Match funding required.
Digital care records
Integrated digital care records
Electronic prescribing
Nurse
Tech
Fund 2
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• Open to NHS organisations only. Match funding required.
• Safe, digital record keeping underpinned by NHS Number as primary identifier
• Integrated digital care records including information sharing within and between
organisations
• Electronic prescribing and medicines mgt
• Ambition is to open up the second round to Voluntary, Community and Social Enterprise
(VCSE) providers of nursing services commissioned by CCGs, Local authorities
• Defining 10 capabilities that release time to care and help modernise Nursing practice
Integrated digital care record programme
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Accelerator sites – what it means
Rapid Accelerators:
• demonstrate information sharing at a local health economy level across
many organisations;
• the approach being taken to information sharing is both repeatable and
scalable;
• are locally led and locally delivered but supported by NHS England both
in terms of SHSW funding and also programme support;
• will work together to share expertise and knowledge;
• will be exemplars of good practice to other NHS Trusts wanting to
develop integrated digital records across health and social care.
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Cumbria
Vision
3 related projects, cross cutting information sharing:
• MIG - The Medical Interoperability Gateway (MIG) is a messaging
gateway to service providers which allows the exchanging of data
between GP Practice Clinical Systems, (EMIS and Vision) and third party
system suppliers e.g. Lorenzo, Adastra, Ascribe etc
• Strata Pathways – eReferral system which passes minimum required
data set from referrer organisation to receiving organisation and matches
demand to capacity/capability.
• An EPR that will provide a shared record across adult community care,
mental health, children’s and specialist services.
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Bristol
Vision
3 projects related to Accelerator status:
•
Connecting Care is the Bristol, North Somerset and South Gloucestershire
programme that is delivering joined-up information to support local care
pathways and improved patient care, through a ‘Portal’ (Orion).
The Connecting Care programme has already successfully delivered the 1st
phase, which provides a shared record incorporating data from : GP systems (via
the ‘MiG’ from Healthcare Gateway); RiO from Bristol, North Somerset and South
Gloucestershire; PARIS in Bristol City Council; SWIFT in North Somerset
Council; Cerner Millennium from NBT; Medway from UHB; Adastra for End of
Life. Next phase includes: Adastra (OOH); Orders and Results NBT and UHB;
Bristol CC referrals.
•
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•
EDM a system that will eliminate the historical paper record; Digital Dictation and
Speech Recognition; enhanced clinical e-Handover functions; a shared,
integrated Clinical System across all of our four Critical Care departments; and
tools for sharing information with GPs.
EPMA – co-development with KcKesson of a Medway EPMA module, led by
Trust Clinicians.
Bradford & Airedale
Vision
A partnership approach across Bradford Care Trust, Bradford Council,
Airedale Acute, Bradford Teaching Hospital and 3 CCGs to transform care
across Bradford, Airedale, Wharfedale and dovetail with services delivered
in Craven with North Yorkshire Council.
Delivery of an Integrated Digital Care Record (IDCR) through a fully
integrated software system (SystmOne). Accelerating the delivery of a
common platform across the region allowing an IDCR to be created.
The aim is to deliver the right care, in the right place, first time for local
people facilitated by effectively sharing information across general practice,
community nursing, therapy services, mental health, social work and
intermediate and secondary care support services.
.
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Rapid accelerators/integration pioneers
“Integrated care records are the connective tissue of integrated care”
• Address Information Governance, Infrastructure and Standards
• Enhance the maturity models to include interoperability/continuity of care
• Support the Technology, the People and the Process
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